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Confusing New PBM Drug Pricing Terms Leave Payors Unsure of Next Steps
Date:8/11/2009

PBM underwriting and data expertise to assure clients of the best solution for their situation.

Timeliness and accuracy are critical as plan sponsors adjust their agreements. The fall out of these steps will set forth concrete steps in PBM price negotiations. Many clients will demand savings; others will seek cost equivalency; and some will require a complete renegotiation of terms given their situation.

"The court ruling in Massachusetts provides an opportunity to lower payor costs for pharmaceuticals," says Dr. Joel R. Daven, Chief Medical Officer for the Oregon-based health plan, Douglas County Individual Practice Association. "For our Medicare clients, this will translate into lower premiums and copays. Unfortunately, the strategies the PBMs are employing are designed to maintain their margin, with no benefit to the payors or consumers."

About TRICAST, Inc.

TRICAST, Inc., founded in Milwaukee in 1997, uses pharmaceutical and medical claims analysis for benchmarking, audits and risk analysis for health benefit plan sponsors. The company also provides timely reporting on vendor performance, allowing opportunities for decisive responses. The net result is better program oversight, lowered plan costs and risk exposure. Please visit www.tricast.com to learn more.

About PSRx Advisors, LLC

PSRx Advisors is a health information entity built to support the Public Sector and specific to pharmacy benefits. PSRx specializes in providing pharmacy program consulting services & solutions to public employee groups, city, county, state and federal programs. To learn more click on www.psrx.com.


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SOURCE TRICAST, Inc.
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